临床误诊误治2023，Vol.36Issue(9)：28-33,6.DOI:10.3969/j.issn.1002-3429.2023.09.007
宫颈癌放疗后骨盆不全骨折误诊分析
Analysis of Misdiagnosis of Pelvic Insufficiency Fracture after Radiotherapy for Cervical Cancer
张燚 1张建军1
作者信息
- 1. 050082 石家庄,解放军联勤保障部队第九八○医院放疗科
- 折叠
摘要
Abstract
Objective To investigate the diagnosis and treatment,causes of misdiagnosis and preventive measures of pelvic insufficiency fracture(PIF)after radiotherapy for cervical cancer.Methods The clinical data of 3 patients with cervi-cal cancer and PIF after radiotherapy misdiagnosed as bone metastases admitted from January 2020 to December 2022 were ret-rospectively analyzed.Results All 3 cases presented with lumbosacral pain after radiotherapy for cervical cancer.MRI,SPET/CT and other imaging examinations suggested bone metastases,and local radiotherapy was recommended.One patient was diagnosed with PIF by postoperative pathological examination one month later,and the symptoms were relieved by corre-sponding treatment.The symptoms of 2 patients were relieved by symptomatic treatment,no progression was found in imaging review at 1-year follow-up,and diagnosis of PIF was made.Conclusion The main causes of misdiagnosis of PIF after radio-therapy of cervical cancer are the lack of specificity of clinical and imaging findings and the inexperience of clinicians.The pa-tients with pelvic pain after radiotherapy of cervical cancer should be diagnosed by comprehensive clinical manifestations and va-rious imaging findings,especially the differentiation from bone metastatic cancer to avoid misdiagnosis and mistreatment.关键词
宫颈肿瘤/放射疗法/骨折/骨盆/误诊/骨转移癌/影像学/病理Key words
Uterine cervical neoplasms/Radiotherapy/Bone fractures/Pelvis/Misdiagnosis/Bone metastatic canc-er/Imaging/Pathology分类
临床医学引用本文复制引用
张燚,张建军..宫颈癌放疗后骨盆不全骨折误诊分析[J].临床误诊误治,2023,36(9):28-33,6.
